should assess further before administering it.
23. Which patent statement to the nurse indicates that the patient understands self-care for pernicious anemia?
“I should increase intake foods rich in vitamin B6.”
“I need to Start eating more red meat and liver.”
“This condition with my bone marrow also increases my risk of infection and bleeding.”
“I will require periodic vitamin B12 injections."
The Correct Answer is D
A. Vitamin B6 is important for overall health but does not treat pernicious anemia.
B. Increasing dietary intake of B12-rich foods like red meat and liver is ineffective since the body cannot absorb B12 due to intrinsic factor deficiency.
C. While some anemias affect bone marrow function, pernicious anemia is not associated with increased infection and bleeding risk.
D. Pernicious anemia is caused by a lack of intrinsic factor, which is necessary for vitamin B12 absorption. Since dietary B12 cannot be absorbed, lifelong vitamin B12 injections are required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. After initial HIV infection, clients typically enter a latent phase where symptoms subside, but the virus continues to replicate. This phase can last for years before progressing to AIDS when the CD4+ T-cell count drops below 200.
B. Symptoms generally do not correlate with a CD4+ count of 500; mild immunosuppression may begin at this level, but the client remains asymptomatic.
C. The virus is still active and causing immune system damage, even when symptoms are absent.
D. HIV transmission can still occur during the asymptomatic phase, especially if viral load is detectable.
Correct Answer is D
Explanation
A. Ferrous sulfate does not aid in vitamin B12 absorption; vitamin B12 requires intrinsic factor for absorption in the ileum.
B. Milk contains calcium, which can inhibit iron absorption, making it a poor choice for administration.
C. Meat and green leafy vegetables are high in iron, and their intake should not be reduced as they help maintain iron levels.
D. Acidic juices (such as orange juice) enhance iron absorption by keeping iron in its more soluble ferrous form.
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